Whalio Doctors

NPI 1003594581

Jeremy Allen Tucker

Practitioner Behavior Technician Kennett, MO

Practice location

Address
935 State Route Vv, Kennett, MO 63857-3822
Phone
(573) 888-5925

Registered specialties

Behavior Technician Primary
Behavioral Health & Social Service Providers Taxonomy 106S00000X

Registry record

NPI
1003594581
Entity type
Individual
Sex (as registered)
Male
NPI issued
6 Jul 2023
Record last updated
6 Jul 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.